Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

CALL US 9810578268
 

Cervical Laminoplasty and Cervical Laminectomy

Cervical Laminoplasty and Cervical Laminectomy

Cervical laminoplasty and cervical laminectomy are surgical procedures aimed at addressing various cervical spine conditions, such as spinal stenosis, herniated discs, or other structural abnormalities. This overview provides insights into both procedures, including their indications, surgical processes, and potential outcomes.

Cervical Laminoplasty:

  1. Indications:
    • Cervical laminoplasty is often recommended for individuals with spinal stenosis, a condition characterized by the narrowing of the spinal canal, causing pressure on the spinal cord.
  2. Surgical Process:
    • A cervical laminoplasty involves creating a “hinged” door in the lamina (the bony arch covering the spinal cord).
    • This door is opened, providing more space for the spinal cord, and then secured in place with small wedges or spacers.
    • The procedure aims to relieve pressure on the spinal cord while preserving stability.
  3. Bone Grafts and Hardware:
    • In some cases, bone grafts may be used to enhance fusion and stability. Metal plates and screws are often employed to secure the lamina in its new position.
  4. Postoperative Recovery:
    • Patients typically wear a neck brace postoperatively, and physical therapy is initiated to aid in recovery, improve strength, and ensure optimal range of motion.
  5. Expected Outcomes:
    • Cervical laminoplasty is designed to alleviate symptoms associated with spinal cord compression, such as neck pain, weakness, or numbness. Successful recovery may lead to improved function and quality of life.

Cervical Laminectomy:

  1. Indications:
    • Cervical laminectomy is performed to address conditions similar to cervical laminoplasty, particularly when there is significant spinal cord compression due to bone spurs, herniated discs, or other abnormalities.
  2. Surgical Process:
    • In cervical laminectomy, a portion of the lamina and the spinous process (the bony projection on the back of the spine) is removed to decompress the spinal cord.
    • The removal of these structures enlarges the spinal canal and reduces pressure on the spinal cord.
  3. Stabilization Techniques:
    • To maintain spinal stability, a fusion may be performed alongside laminectomy. Bone grafts and hardware, such as plates and screws, may be used to promote fusion and prevent instability.
  4. Postoperative Recovery:
    • Similar to cervical laminoplasty, patients may wear a neck brace temporarily after surgery. Physical therapy is initiated to aid recovery and promote optimal functioning.
  5. Expected Outcomes:
    • Cervical laminectomy is expected to relieve symptoms associated with spinal cord compression, such as pain, weakness, or numbness. The success of the procedure often depends on the extent of decompression and the patient’s overall health.

Risks and Complications:

  • Both procedures carry risks, including infection, bleeding, nerve injury, or complications related to the graft or hardware. Patients should thoroughly discuss potential risks with their healthcare team.

Conclusion:

Cervical laminoplasty and cervical laminectomy are surgical interventions designed to address cervical spine issues, particularly spinal cord compression. The choice between these procedures depends on the specific condition, extent of compression, and the surgeon’s assessment. Through collaborative discussions with healthcare professionals, individuals can make informed decisions about their care, leading to improved outcomes and enhanced quality of life.

Always there to care.

Book Appointment

    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient